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流感大流行对医护人员的心理社会影响,以及对 COVID-19 紧急情况的经验教训:快速综述。

The psychosocial impact of flu influenza pandemics on healthcare workers and lessons learnt for the COVID-19 emergency: a rapid review.

机构信息

EngageMinds HUB - Consumer, Food and Health Engagement Research Center, L.go Gemelli 1, 20123, Milan, Italy.

Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy.

出版信息

Int J Public Health. 2020 Sep;65(7):1205-1216. doi: 10.1007/s00038-020-01463-7. Epub 2020 Sep 4.

Abstract

OBJECTIVES

During a pandemic, healthcare workers (HCWs) are essential to the health system response. Based on our knowledge, little information is available regarding the psychosocial impact on HCWs or interventions for supporting them during pandemics. Therefore, the study aimed to assess available literature on perceived stress and psychological responses to influenza pandemics in HCWs and identify implications for healthcare practice and future research.

METHODS

This is a rapid review of the literature. The review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analysis.

RESULTS

Across all the studies-both qualitative and quantitative-HCWs working during the epidemic reported frequent concerns regarding their own health and the fear of infecting their families, friends and colleagues. Moreover, social isolation, uncertainty, fears of stigmatization and reluctance to work or considering absenteeism were frequently reported. Moreover, many studies highlighted a high prevalence of high levels of stress, anxiety and depression symptoms, which could have long-term psychological implications in HCWs.

CONCLUSIONS

This rapid review offers an overview of the major concerns regarding HCWs' psychosocial well-being and possible preventive strategies, which could be useful for the current COVID-19 outbreak and similar future pandemics. Studies suggested to invest on preventive psychological, social, family and physical support and to guaranteeing reasonable work conditions and others in order to protect HCWs from the long-lasting psychological effect of the COVID-19 pandemic.

摘要

目的

在大流行期间,医护人员(HCWs)是卫生系统应对的关键。根据我们的知识,关于 HCWs 的心理社会影响或大流行期间支持他们的干预措施的信息很少。因此,本研究旨在评估有关 HCWs 在流感大流行期间感知压力和心理反应的现有文献,并确定对医疗保健实践和未来研究的影响。

方法

这是对文献的快速审查。该审查是根据系统评价和荟萃分析的首选报告项目进行的。

结果

所有研究——无论是定性研究还是定量研究——都表明,在疫情期间工作的 HCWs 经常担心自己的健康,并担心感染家人、朋友和同事。此外,还经常报告社会隔离、不确定性、对污名化的恐惧以及不愿意工作或考虑旷工。此外,许多研究强调了高水平压力、焦虑和抑郁症状的高患病率,这可能对 HCWs 产生长期的心理影响。

结论

这项快速审查概述了 HCWs 心理社会健康的主要关注点和可能的预防策略,这对当前的 COVID-19 爆发和类似的未来大流行可能有用。研究建议投资于预防性的心理、社会、家庭和身体支持,并保证合理的工作条件和其他方面,以保护 HCWs 免受 COVID-19 大流行的持久心理影响。

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